Medical Referral Coordinator Thrive Alabama - 2.8 Huntsville, AL Job Details $17.63 - $21.00 an hour 20 hours ago Qualifications Computer operation Patient scheduling systems Medical chart preparation Health insurance co-pays HIPAA compliance Overseeing health insurance pre-certification Informed consent Electronic health records (EHR) management Financial transaction processing Depositing cash Computer literacy Intake Patient demographics HIPAA Cash drawer securing Scanning Release of information request management Mid-level Patient financial aid assistance Medical scheduling Healthcare referral management Fax machines Healthcare privacy protection Informed consent procedures implementation Client referral services Medical record retrieval Data entry Payment posting in medical billing systems Document review Working with individuals from diverse cultural backgrounds Full Job Description This position is responsible for managing patient referrals daily, ensuring patients are seen by the provider they are referred out too and that results are sent back to the ordering provider. Duties also include managing appointments, patient information and payment processing through accurate and timely data entry. This position is responsible for managing patient referrals daily, ensuring patients are seen by the provider they are referred out too and that results are sent back to the ordering provider. Duties also include managing appointments, patient information and payment processing through accurate and timely data entry. Duties and Responsibilities Coordinate outgoing medical referrals as ordered by the provider. Develop a knowledge base for all insurance plan coverage as it pertains to referrals, diagnostic imaging, radiology, and special procedures. Schedule diagnostic imaging, radiology or special procedures as ordered by the provider. Communicate with patient on referral information, to include but not limited to time, place and special instructions regarding the referral, diagnostic imaging, or procedure. Follow up with any open referrals and ensure medical records, diagnostic imaging results and procedure results are received back to the clinic in a timely manner. Document incoming referral notes and procedure results in the patient chart, ensure they are assigned to the provider accordingly. Ensure that referrals are in accordance with FQHC guidelines. Complete any medical or medication Prior Authorizations that are required by the insurance company. Review the provider schedule the day before and ensure any pending referrals, DI and procedures are addressed. Communicate any discrepancies or issues. Review the fax inbox daily, attach fax documents to the appropriate patients and direct fax documents to the appropriate staff. Conduct insurance eligibility and intake process to include financial assistance interviews. After collecting all required documentation, explain insurance benefits, copay obligations, service fee requirements per sliding fee scale to patients: collect copays/fees post to patient EMR account. Schedule/cancel/reschedule all appointments according to patient request and/ or scheduling guidelines including those requested through Healow or EMR portal. Answer multiline telephones, route calls and mail/correspondence to appropriate depts. Document patient communication and assign telephone encounters from answering service messages from the day prior. Ensure that all required patient demographic information is entered and updated as required in both EMR and CAREWare. Enter all medical encounters into CAREWare. Obtain photo ID, insurance cards and take patient photos using the kiosk for medical record. Ensure that Release of Information (ROI), HIPPA and Patient Consent are obtained on all patients, updated as needed and scanned in the patient's Electronic Medical Record (EMR). Scan all medical records and lab documents into EMR for clinic. Ensure that Ryan White funds are the payer of last resort while fulfilling the needs of the clients. Reconcile cash drawer to ensure accuracy and prepare the drop at end of each day. Fax all medical records requests and follow-up to ensure receipt of requested records. Enroll all patients in patient portal, Healow app and instruct patient on Kiosk use. Ensure patient has received all services scheduled for before checking out. Review patient appointments for the following clinic day, make reminder calls. Participate in Team Meetings 23. Participate in Quality Improvement projects as directed. 24. Input patient data into eClinicalWorks and Careware, as needed 25. Other duties as assigned. Knowledge, Skills, and Abilities Knowledge of HIPAA laws. Ability to work independently with minimum supervision. Basic computer literacy skills including but not limited to EMR, MS, Excel and CAREWare. Ability to work with patients, significant others, and staff from diverse populations. Ability to effectively communicate with staff and patients. This position is responsible for managing patient referrals daily, ensuring patients are seen by the provider they are referred out too and that results are sent back to the ordering provider. Duties also include managing appointments, patient information and payment processing through accurate and timely data entry.